Title

A Bi-Directional Theory of Addiction: Examining Coping and the Factors Related to Substance Relapse

Publication Title

Addictive Behaviors

Publication Date

1-1997

Document Type

Article

DOI

10.1016/S0306-4603(96)00026-3

Keywords

substance abuse, coping skills, social structure, bi-directional treatment

Disciplines

Other Social and Behavioral Sciences | Psychology | Social Psychology | Sociology

Abstract

The results from this study supported a bi-directional theory of addiction for a sample of Black, inner-city, working-class, male substance abusers. Using structural equations modeling, at 6 months posttreatment we found that (a) the reciprocal effect emotional and psychological distress and substance relapse had on one another existed within the context of their bi-directional relationship with social instability, and (b) effective coping skills and resources moderated the negative effects that emotional and psychological distress, social structure, and substance relapse had on one another. These findings led us to three suggestions treatment professionals can use to counteract recidivism.

Publisher

Elsevier

Publisher Location

Amsterdam, Netherlands


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